| NPI | 1578714192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MN R-168987-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI R-163929-30) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |